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ISSN 1665-2576 (Print)

2005, Number 3

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Rev Mex Cir Endoscop 2005; 6 (3)

Extraperitoneal laparoscopic approach in inguinal region from fresh human corpses

Ramírez AJC, Salazar MC, Zazueta TJM, Salas HE, Salas CJJ, Angulo CAD, Gómez RMI

Language: Spanish
References: 12
Page: 111-114
PDF size: 77.50 Kb.


ABSTRACT

Background: The knowledge of the inguinal region anatomy through totally extraperitoneal laparoscopic approach has been an obstacle for most of the laparoscopist surgeons to complete successfully the inguinal hernioplasty technique, because the learning curve is long and requires a training of approximately 50 procedures on patients under the supervision of an expert.
Performing a laparoscopic approach in fresh corpses allows the surgeon to get acquainted with the anatomy of the inguinal region and get a shorter learning curve in alive human beings.
Methods: We performed a laparoscopic approach from the inguinal region on 9 fresh corpses and measured the following variables: sex, hours from death, surgical time, creation of the peritoneal extra-space, and identification of the structures of the lateral inguinal region.
Results: 9 corpses were approached (2 female and 7 male ones), death time ranged from 8 to 24 hours, the surgical time ranged from 30 to 90 min. In all the cases we created the extraperitoneal space and identified the structures, placing a mesh in 6 cases.
Conclusion: The totally extraperitoneal laparoscopic approach of the inguinal region in fresh corpses is totally feasible and it greatly helps in the knowledge of the anatomy of the inguinal region.


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